Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Wissam Edward Nadra, MD

Individual provider Pediatrics Physician · NPI 1154318350

Wissam Edward Nadra, MD is a Pediatrics Physician in Denver, North Carolina. Licensed in Arizona, California and North Carolina. Registered with an NPI since 2005.

Licensed in
AZ, CA, NC
In the registry since
2005
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

275 N Hwy 16 Suite: 103 Lakeshore Pediatric Ctr
Denver, NC 28037
Phone: (704) 489-8401
Fax: (704) 489-8404
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 2000-00103 (NC)
Pediatrics Physician Taxonomy 208000000X · Licence A67393 (CA)
Pediatrics Physician Taxonomy 208000000X · Licence 27533 (AZ)

Record details

NPI number1154318350
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 3, 2005
Last updated in NPPESMarch 7, 2023

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